DR. JOHN DUFFY DEWALT (D.O.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1508869702

DR. JOHN DUFFY DEWALT (D.O.) is a healthcare provider. based in Logan, Ohio. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold the professional credentials D.O.. They hold a License No. 34002686D (OH). The NPI Number for DR. JOHN DUFFY DEWALT (D.O.) is 1508869702

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN DUFFY DEWALT (D.O.)
NPI
1508869702
Phone
(740) 385-1881
Address
144 E MAIN ST
Enumeration Date
23 May 2005
Last Update Date
13 January 2016

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
2062475098
Professional Enrollment ID
I20041110000345
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN DUFFY DEWALT (D.O.)

  • Main Street, Logan, Cache County, Utah, 84321, United States

    LOGAN, OH 43138

    Phone: (740) 385-1881

    Fax: (740) 385-1875

    Type: Mailing

  • East Main Street, Logan County, Illinois, 62693, United States

    LOGAN, OH 43138

    Phone: (740) 385-1881

    Fax: (740) 385-1875

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241115004162IThoracic SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4116$0
View full utilization report →

Insurance plans in this area (ZIP 43138)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. JOHN DUFFY DEWALT (D.O.)?
NPI 1508869702 is assigned to DR. JOHN DUFFY DEWALT (D.O.) under the national enumeration system.
Is DR. JOHN DUFFY DEWALT (D.O.) active in the national directory?
DR. JOHN DUFFY DEWALT (D.O.)'s public NPI profile is in an active state.
Does DR. JOHN DUFFY DEWALT (D.O.) list a primary specialty?
If you are matching referrals, note Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician for DR. JOHN DUFFY DEWALT (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for DR. JOHN DUFFY DEWALT (D.O.)?
We surface Logan, Ohio for DR. JOHN DUFFY DEWALT (D.O.) based on available NPPES addresses.
Is DR. JOHN DUFFY DEWALT (D.O.) a real provider?
This page reflects official NPPES data for NPI 1508869702. Always confirm identity and privileges with the practice and licensing boards.

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